Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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The Clusters of Fever-Related Symptoms among Patients at the Emergency Room

발열 증상 클러스터 - 응급실 내원 성인 환자를 대상으로

  • Na, Sun Gyoung (Department of Nursing, Samsung Medical Center, College of Nursing, Graduate School, Yonsei University) ;
  • Shin, Hyun A (Department of Nursing, Samsung Medical Center, College of Nursing, Graduate School, Yonsei University) ;
  • Oh, Eui Geum (College of Nursing.Mo-Im Kim Nursing Research Institute, Yonsei University)
  • 나선경 (삼성서울병원, 연세대학교 간호대학) ;
  • 신현아 (삼성서울병원, 연세대학교 간호대학) ;
  • 오의금 (연세대학교 간호대학.김모임간호학연구소)
  • Received : 2017.01.13
  • Accepted : 2017.02.16
  • Published : 2017.04.30
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Abstract

Purpose: The purpose of this study was to investigate symptoms experienced by patients who reported fever at the emergency room (ER) and to identify any existing cluster of symptom related to fever. Methods: The study used a retrospective and descriptive design with secondary data analysis. Data were abstracted from 665 medical records of patients with fever who visited ER from September 1, 2015 to August 31, 2016 at a tertiary hospital. Results: The most frequently reported symptoms included cold (43.9%), myalgia (24.1%), headache (16.2%), general weakness (15.3%), respiratory symptoms (12.3%), gastrointestinal (GI) symptoms (12.0%), mental change (4.5%), sweating(1.8%), and warmth (0.9%). Analysis of the symptoms related to fever revealed seven symptom clusters; Cluster 1 (n=190) included cold (100%) and myalgia (28.9%); Cluster 2 (n=37), headache (100%) and myalgia (32.4%); Cluster 3 (n=33), GI symptoms (100%), general weakness, headache, and cold; Cluster 4 (n=34), cold (100%), myalgia, headache, and respiratory symptoms; Cluster 5 (n=241), respiratory symptoms (10.8%); Cluster 6 (n=76): myalgia (75.0%) and general weakness, and Cluster 7 (n=54), cold (87.0%), general weakness, and respiratory symptoms. Conclusion: The results of this comprehensive symptom assessment are hoped to be helpful in developing better symptom management for ER patients with fever than before. Further research is warranted to verify the symptom clusters of this study in different clinical settings.

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